340B Advocacy

March 2026

HealthNet Advocates, 

Indiana is advancing a Medicaid State Plan Amendment (SPA) that would redirect 340B drug savings away from community health centers and into the state Medicaid program. Public comments are open through March 27—and we urgently need your voice.

Why This Matters

The 340B Drug Pricing Program allows health centers like HealthNet to purchase medications at a discount and reinvest those savings directly into patient care.

At HealthNet, 340B makes it possible to:
• Provide medications at low or no cost to Medicaid and uninsured patients
• Deliver prenatal, chronic disease, and preventive care
• Support care coordination, transportation, and other services that prevent costly hospitalizations
• Offset the cost of caring for uninsured patients, where there is little to no reimbursement

These are not taxpayer dollars—they are manufacturer discounts designed by Congress to help safety-net providers serve more patients.

Right now, the need is growing. More Hoosiers are uninsured, Medicaid reimbursement remains inadequate, and demand for care continues to rise. 340B is essential to closing that gap.

If the State redirects these resources:
• Services and locations will be reduced
• Wait times will increase
• Access to care will decline—for all patients

If HealthNet serves your community, this will affect you.

How You Can Help:

We are asking patients, partners, and community members to contact the Indiana Family and Social Services Administration (FSSA) and urge the State not to move forward with this State Plan Amendment—or, at a minimum, to exempt Community Health Centers from this proposed change.

ACT NOW: SUBMIT YOUR COMMENT!

Deadline: March 27, 2026 by 5:00 PM

Email: spacomment@fssa.in.gov
Subject Line: COMMENT RE: 340B DRUG PROGRAM

Patient Template
I am a patient at HealthNet, and I rely on them for my care and medications. Without HealthNet, I would not be able to afford the care I need to stay healthy.

340B savings are reinvested into patient care—not profit. They help lower medication costs and support services like care coordination that patients like me depend on.

If these resources are reduced, it will be harder for HealthNet to provide care for me and my community. I respectfully urge FSSA to not move forward with this State Plan Amendment—or, at a minimum, to exempt Community Health Centers from this proposed change.

Community Member / Partner Template
As someone in a community served by HealthNet, I am concerned about the proposed changes to the 340B Drug Pricing Program.

Community Health Centers like HealthNet reinvest 340B savings into patient care and essential services like chronic disease management, care coordination, and transportation—not kept as profit.

Reducing these resources will weaken access to care for our community. I respectfully urge FSSA to not move forward with this State Plan Amendment—or, at a minimum, to exempt Community Health Centers from this proposed change.

This is time-sensitive. A quick email can make a real difference. Thank you for your support!